A web-based educational video to improve asthma knowledge for limited English proficiency Latino caregivers

J Asthma. 2017 Aug;54(6):624-631. doi: 10.1080/02770903.2016.1251597. Epub 2016 Oct 26.

Abstract

Objectives: To evaluate limited English proficiency (LEP) Latino caregiver asthma knowledge after exposure to an educational video designed for this target group.

Methods: A cross-sectional, interventional study was performed. We aimed to evaluate the post-test impact on asthma knowledge from baseline after exposure to a patient-centered, evidence-based, and professionally produced Spanish asthma educational video. Participants included LEP Latino caregivers of children 2-12 years old with persistent asthma. Enrollment was performed during ED encounters or scheduled through a local community organization. Asthma knowledge was measured with a validated Spanish parental asthma knowledge questionnaire. Differences in mean scores were calculated with a paired t-test.

Results: Twenty caregivers were enrolled. Participants included mothers (100%) from Puerto Rico (75%), with a high-school diploma or higher (85%), with no written asthma action plan (65%), whose child's asthma diagnosis was present for at least 3 years (80%). Mean baseline asthma knowledge scores improved 8 points from 58.4 to 66.4 after watching the educational video (95% CI 5.3-10.7; t(19) = 6.21, p < 0.01). Knowledge improvements were similar across the ED and community groups. Knowledge gains were observed in the areas of ED utilization, medication usage, and activity limitations.

Conclusions: The developed educational video improved caregiver asthma knowledge for a Latino population facing communication barriers to quality asthma care. Dissemination of this educational resource to LEP caregivers has the potential to improve pediatric asthma care in the United States.

Keywords: Education; Latino; asthma knowledge; limited English proficiency; pediatrics; web.

Publication types

  • Clinical Study

MeSH terms

  • Adult
  • Anti-Asthmatic Agents / therapeutic use
  • Asthma / drug therapy
  • Asthma / physiopathology*
  • Child
  • Child, Preschool
  • Communication Barriers*
  • Cross-Sectional Studies
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Health Education / methods*
  • Health Knowledge, Attitudes, Practice*
  • Hispanic or Latino
  • Humans
  • Internet
  • Language
  • Male
  • Middle Aged
  • Mothers / psychology*
  • Puerto Rico / ethnology
  • Socioeconomic Factors

Substances

  • Anti-Asthmatic Agents